Organization Active NPI

Albert Chung Dental Clinic

  • Prosthodontics
  • Bellevue, WA
National Provider Identifier
1609229699
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
ALBERT CHUNG DENTAL CLINIC
Practice address
12715 Bel Red Rd Ste 201
Bellevue, WA 98005-2627
Phone
(206) 265-2616
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kwok Hung Chung, DDS
Title
Manager
Phone
(206) 265-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

12715 Bel Red Rd Ste 201
Bellevue, WA 98005-2627

Mailing address

11749 Exeter Ave NE
Seattle, WA 98125-5913
Phone (206) 265-2616

National Provider Directory

National Provider Directory

Locations

12715 NE Bel Red Rd
Ste 201
Bellevue, WA 98005
Phone (206) 265-2616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1609229699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11749 EXETER AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255913",
            "telephone_number": "206-265-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12715 BEL RED RD STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052627",
            "telephone_number": "206-265-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT CHUNG DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "KWOK HUNG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-265-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.